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Jacob Crandon
NPI 1306610704 · on the registry since 2023
Practice
- Address
- 149 Reinhardt College Pkwy Ste 9
Canton, GA 30114 - Phone
- (678) 493-2725
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia